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CITY OF RAMSEY - 2012 <br />APPLICATION FOR TEMPORARY SPECIAL EVENTS PERMIT <br />Return this completed application along with (fee determined based on event) <br />City of Ramsey <br />7550 Sunwood Drive NW <br />Ramsey, MN 55303 <br />Make check or money order payable to the "City of Ramsey". <br />1) FULL Name of Business/Association: CV —kin"? ! 4'' O �� <br />2) Manager or Proprietor's FULL Name: f50u loB4`t- ✓ <br />Last First <br />3) Manager's or Proprietor's Date of Birth: <br />l//GI5.7 <br />4) Business Address: t 430 0 $ ✓��hl� `�� W..fr^-f( \! /" p) 75- 7d3 <br />Street, Box, Route City State ZIP <br />5) Business Phone Number(s): (-') A 1 ?.1 — G I (7 45) 7-1317"l 45 2 <br />6) Exact legal description of the premises to be licensed: �` 04^-{6l) /►'‘‘;-41i 16114") <br />Middle Name <br />7) Owner of the premises: <br />/,*c- .\) <br />Last 1\l‘an-Nil First Name <br />8) Address of Owner of premises: 7 <br />Street, Box, Route <br />6 vew-,e6 Driv IL(� <br />City State <br />9) Owner's Phone Number(s): 1 ?G i ) L Z 7 '` `'i (4 1 ) <br />10) Applicant's FULL Name: <br />Last Name First Name <br />11) Applicant's Phone Number(s): <br />12) Applicant's Date of Birth: <br />13) Applicant's Place of Birth: <br />14) Applicant's Address: <br />1/ <br />( /) ) (1) ) <br />1f <br />Street, Box, Route <br />15) Applicant's Email Address: : 01ALAI,VA- `rai-, /`l 61 <br />1 <br />16) Applicant's Position With Company: Opt d <br />17) Are you the sole owner of the business? Yes: <br />18) If partnership, state names and addresses of all partners. <br />Middle Name <br />/O 3 <br />ZIP <br />Middle Name <br />City State ZIP <br />v-5 N . <br />No: <br />